Perform a wide range of clinical practice skills/CT examinations
Tailor CT examinations to patients: Be able to modify practice & assess what examinations best suit individual patients
Decision maker & risk taker: Decide whether to initiate, continue, modify or abandon a CT examination as needed
Competent in patient cannulation and IV administration & recording / documenting any potential ‘at risk’ patients
Refining your skills in CT & increasing your confidence or competence in performing certain examinations
Dose reducing radiographer: Apply suitable dose reduction strategies whilst producing high quality images.
Make a decision/evaluate images
Review clinical test results: Verify pregnancy status of patients, renal function, allergic history
Emergency: Identifying, managing and responding appropriately to emergency situations as needed
Standard setting & policy maker: Review protocols regularly in conjunction with multidisciplinary team
Be a good communicator with both patients and their family’s as well as other staff members
Justification of CT – overuse of CT may cause > three million excess cancers in the USA over the next two decades: 2007 Brenner & Hall.
Optimisation: highest quality images at the lowest possible radiation doses
Knowledge is power!: Be knowledgeable on all aspects of CT and on current/new trends: Know the current legislation applicable to the profession & be able to practice within that legislation
Reflective practitioner: Being able to reflect on practice and change approach where necessary based on that reflection
Personal accountability for patients & the business and quality: Be accountable & willing to stand by your decisions.
Autonomy: Being able to practice as an autonomous professional exercising your own professional judgement
Lifelong learning….Keeping your skills up to date & keeping abreast of new developments in CT, undertake regular CPD
Professional approach: Maintaining high standards of patient care & quality
Knowing the limits of your ability
Teaching & research: Be involved with staff/student training & educating others. Participates in research and the dissemination of knowledge and the advancement of the profession.
Quality assurance: Cary out audits of departmental procedures or protocols or dose etc
Communication skills: Have good verbal and non-verbal communication skills
Monitor patients throughout the procedure, keep watch during the examination & don’t answer the phone or have a conversation while scanning the patient
Patient information: Inform patient of preparation prior to examinations, of scan procedure and risks, of where and when to get results, whether they need to take medication etc. Make sure to pitch at appropriate level for patient
Being able to work in partnership with others e.g. doctors, radiography aides, radiographers, managers – contribute effectively as part of a multidisciplinary team
Preparing patients appropriately for their CT examination or delivering appropriate aftercare and instructions to patient or their carer.
Having a patient-centred focus and acting in their best interests at all times – professional duty of care.
Ensure comfort, warmth, and scan information for the patient
Delivering appropriate aftercare e.g. line removal & instructions to patient or their carer. Follow up phone number if needed. Instructions re hydration & metformin if needed
Checking past and current clinical history – why is this important?
Ensuring proper ID is recorded for the patient
Checking patient preparation has been given – why is this important?
Screening of patients: Checking allergy risk, contraindications of contrast administration, LMP, renal function, line patency, contrast sensations
Check contrast dose, expiry date and name of contrast with another person
Verifying informed consent
Ensure patient safety before, during and after the examination e.g wheelchair breaks, laser lights, getting on & off the table, moving parts of the table or gantry
Keeping dose ALARA when scanning.
Proper record keeping e.g. on RIS and in relation to radiation dose or contrast agents. Ensure dose records are sent to PACS, comments in relation to the patient or CT examination,
Confidentiality – understand its importance & perform best practice
QA and troubleshooting, maintaining a safe environment for patient and other users, apply appropriate risk management strategies
Ensuring safe transport back to ward & return of patient notes
Incident reporting: Complete appropriate incident forms and document appropriately – seek feedback
Role screening requests e.g. inappropriate vs. appropriate requests, categorising outpatient requests (cat 1-4 e.g.), charge over booking system
Managing day to day lists, with add on’s or patients who do not turn up or who are not prepared
Manage emergency situations in terms of re-organising the lists & notifying patients already waiting outside
Manage critical ill patients e.g. trauma or ICU who might need suction or resuscitation or close monitoring
Teaching & training staff to a level of competence to be able to work in this busy environment & partake in on call duties
Assess their own staff competence & supervise students
Conduct & supervise research in the department & perform & direct clinic audit
Devise & review protocols/guidelines in conjunction with radiologists & physicists, radiation safety & risk management
Equipment maintenance & direct QA programme for CT department
Equipment tendering & purchasing
Multidisciplinary management team for hospital